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Individual

DR. ROBERT WILLIAM KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
671 ROSA AVE, STE.101, METAIRIE, LA 70005-2843
(504) 833-2225
(504) 834-1391
Mailing address
2404 EDENBORN AVE, METAIRIE, LA 70001-1817
(504) 833-2225
(504) 832-2253

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
07659R
LA
208D00000X
General Practice Physician
Primary
MD07659R
LA

Other

Enumeration date
07/27/2005
Last updated
03/05/2013
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